Individual provider Active NPI

Alan Lee Tribble

  • Behavior Analyst
  • Salt Lake City, UT
National Provider Identifier
1225426786
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
3274 E Oakcliff Dr
Salt Lake City, UT 84124
Phone
(801) 696-7319
Fax
(801) 272-7003
NPI assigned
Jan 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

3274 E Oakcliff Dr
Salt Lake City, UT 84124

Mailing address

3274 E Oakcliff Dr
Salt Lake City, UT 84124-5660
Phone (801) 696-7319

Other practice location 1

179 N 1200 E
Suite 101
Lehi, UT 84043-2148
Phone (801) 935-4171 ext. 11

Other identifiers 1

IdentifierTypeStateIssuer
1-00-0069OtherUTBEHAVIOR ANALYST CERTIFICATION BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alan Tribble Behavior Analyst LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1225426786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3274 E OAKCLIFF DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841245660",
            "telephone_number": "801-696-7319",
            "fax_number": "801-272-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3274 E OAKCLIFF DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84124",
            "telephone_number": "801-696-7319",
            "fax_number": "801-272-7003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "179 N 1200 E",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840432148",
            "country_code": "US",
            "telephone_number": "801-935-4171 x11",
            "fax_number": "888-261-6694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIBBLE",
        "first_name": "ALAN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-06",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-00-0069",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.